41453D - Gulledge

CAMA/ '11 DREDGE & FILL \
iENERAL PERMIT Previous permit#
New Modification Complete Reissue l`'Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources u
Dastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 14 1Z oyyrr
{r}Rules attached.
-••••''r Location:
Project ocaton: County Name )ors �juL.(,-cL�6� 1 abE 2
13 0 3 tJ• We.y,., /LS.V c t', Street Address/State Road/Lot#(s)
n2 F cSt 1 State ►JL ZIP Z-3 145' 13-D3 ►J• 0 S.-•' 1Q.-2 v 6 cL
(°7►o) 3Z3 t-13S'Z Fax#( ) Subdivision .bE` MAA RC-A 4-
Bd Agent Lt.(Ai '7 H o ta y t 0/N c u E. City fj U&.0 CST`/ ZIP Z 114
❑CV/ biteN [PTA ❑ES ❑PTS Phone# ( ) River Basin La .E '
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body C Qs E.k— /0 r
❑PWS: ❑FC:
yes / no PNA A/ no Crit.Hab. yes / no
Closest Maj.Wtr. Body f 4 Al.L 5.4 D
Project/Activity 'T i t 1 a L l D • if 1 z' X Z O
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t�
(Scale:! I(
ck)length LI X 1(z).7
i(s) ) J 1 X Z
T .t 1 _ _,_.__.
ier(s)
ngth r- , —
mber '' O v 1 vv 14 i t it
d/Riprap length , 7°
2 0y r (L I`IN 0 a S IA ,'
;distance offshore ;.CL'
uc distance offshore 'Y 4..
l I
iannel 1 !*
1/ `, i
bic yards ' ' t, .
ripI J I/ V ._..4 1 . :.._
D
use/Boatlift / i
lulldozing
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ie Length 5 0 .
�t s. ure.. yes no
gs: not sure yes no
rium: n/a yes saZ) ` , . .
yes ® `
Attached: yes 401 - _ '
ling permit may be required by:5 0 2 F GyT y . _ J See note on back regarding River Basin I

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DT N OF C ASTAL _viANAG NT
4DJACENT RZP XAN PROPERLY OW IR NOTIFICA7IONiWATVER FORM
Name of Individual Applying For Permit: 0 01.044,5. 6.v. L(- p G
Address of Property: \ 30 3 ° alto-d V4A- 6It'
(Lot or Street#, Street or Road)
Evil- P C N-C, L$ tf YS AfNofk CovM10
(City and County)
I hereby certify that I own property adjacent to the above-referenced-property. The individua
applying for this perm' `has described to me as shown on the attached drawing the development the:
ire proposing. A d rift' n or drawing,with dimensions, should be provided with this letter.
e1 I have no objections to this proposal. 9.--7---;7?
If you have objections to what is being proposed, please write the Division of Coasts
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
within 10 days of receipt of this notice. No response is considered the-same as no objection i
you have been notified by Certified Mail.
- � .. WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift Must b
set bck a minimum distance of 15'from my area of riparian access-unless waived by me. (!
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I daLuot wish to waive the 15' setback requirement.
..,_______/.
?/-7(1-..C.
Sign Name Date
Tk -/ s /0nr dZ - '---
AVAPrint Name .
9/ .3-

Di ' COA TAL UTANAGEI NT
er'�re SENT RI ,AN PROP RTY OWNER NOT IION/WAIVER FORM
Name of Individual Applying For Permit: eRof 1 * t.AS Gv LLedq
Address of Property: C 30 3 A)• Ai ew l Q2
(Lot or Street#, Street or Road)
S v F Get NZ- Z$ f f s (PfovOttz C,ov N4 Y
(City and County)
I hereby certify that I own property adjacent to the above-referenced_.property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A desc 'ption or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal. //23'
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
you wish to waive the setback,you must initial the appropriate blank below,)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
I Date
C7171T"1/
Punt Name A7:111rAl.
9/o 3 74v.7
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